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Malignant Melanoma

Malignant Melanoma

A previously asymptomatic, large
black plaque on a 65-year-old man's
scalp recently began to bleed. The lesion
had grown considerably since it
first appeared as a small black macule
3 years earlier.
A clinical diagnosis of malignant
melanoma was confirmed by an incisional
biopsy. An excisional biopsy of
the 3.85-mm thick cancer was performed
several days later. The patient
refused biopsy of clinically palpable
lymph nodes in his neck.
Common sites of melanoma
metastases include the nodes, lungs,
liver, brain, and bone. This patient
died 8 months later with metastases
to his brain.
(Case and photograph courtesy of
Dr Reynold C. Wong.)

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